When should we consider speech production onset delayed?

[Eileen Brann]

With the gestures you noted, her language skills seem on track. If her consonant sound production does not increase in the next few months, I suggest an evaluation at a medical center's speech pathology department.
Best of luck

Eileen Brann

On Sep 17, 2014, at 11:57 AM, Fatima Badry Zalami <badry at aus.edu> wrote:

> I would like to thank all of those who replied with assurances and suggestions. I have shared them with the mother and it has helped reduce her anxiety for a while. In response to some of the questions that were asked, I have observed the child and even tried to record bits of her speech. Her mother confirmed that the child says 'bye' and waves bye. She says 'no' when she doesn't want to eat something, and says dada-dada-dada when someone holds her hand to help her walk. Those are basically the only words with CV combinations that she produces. She  also makes an 'uu' sound by totally rounding her lips to mean 'yes' and 'oo' for 'open' to ask someone to open a box or something. I could hear an attempt for the 'p' in open but it was not a clear stop. She also makes the gesture of covering her mouth in reaction to something falling and tries to say 'oops' but the /p/ sound doesn't come out clearly here either. So no VC syllables so far. 
> She does have pointing gestures to objects and directions. She probably does have words because she has these strings of vowels and almost fricative sounds with appropriate sentence intonation,  clearly communicates her needs and even may be comments on what is said. She also seems to be aware of turn taking in interactions. 
> The child's family lives overseas. I have checked the list of SLPs available locally, but it is difficult to determine the right one. Very commercial business in this city and local licensing is not very trustworthy.
> I hope this additional information may make this case clearer to the specialists on the list, and may be get some more of your assessments.
> Thanks again,
> Fatima
> 
> 
> ----- Original Message -----
> From: "Eileen Brann" <eileenbrann at gmail.com>
> To: info-childes at googlegroups.com
> Cc: info-childes at googlegroups.com
> Sent: Sunday, September 14, 2014 9:03:36 PM
> Subject: Re: When should we consider speech production onset delayed?
> 
> A few thoughts come to mind:
> 
>    Does she blow bubbles or blow out birthday candles? Make environmental sounds (beep-beep for a truck backing up, imitate animal sounds, which are consonant-vowel productions). I tell parents to start with these tasks in a playful environment and see what happens in 6-8 weeks.
> I agree with a pediatric audiological evaluation as soon as possible.
> Is the child using communicative gestures now, such as pointing to objects that she wants, waving "hi"/"bye"?. Very young children shake their heads "no" to refuse an activity or to answer a question.
> 
> When in doubt, contact a pediatric speech-language pathologist for an evaluation. 
> 
> Eileen Brann, PhD, CCC-SLP
> Assistant Professor
> Communication Disorders
> Governors State University
> University Park, Illinois
> 
> 
> On Sep 12, 2014, at 10:03 AM, Fatima Badry <badry at aus.edu> wrote:
> 
>> A 16 months and 2 weeks child has not yet produced her first words   Although she seems to have  age appropriate cognitive and social development. She is very interactive and communicates all her intentions by grabbing adults' hands and direct them to do what she wants, she makes sounds (mostly vowel combinations with hardly any consonants)  with appropriate intonations. She also follows melodies by singing, using something like lalala with appropriate tunes. Her mother has been interacting with her since birth in English and so have other family members.  Her dad is interacting with her in Arabic.  
>> She is also late in standing and walking. 
>> If we rule out delayed cognitive development and autism givien her very social behavior, what could explain the delay in speech production? Are the delayed speech and walking related? Could it be some motor skill issue eventhough she has great coordination and can navigate youtube on phones to get to her favorite nursery rhymes with amazing dexterity! 
>> Her mother wants to know if she  can she do to help her start speaking?
>> All insights are much appreciated.
>> Fatima
>> Sent from my iPad
>> 
>> -- 
>> You received this message because you are subscribed to the Google Groups "Info-CHILDES" group.
>> To unsubscribe from this group and stop receiving emails from it, send an email to info-childes+unsubscribe at googlegroups.com.
>> To post to this group, send email to info-childes at googlegroups.com.
>> To view this discussion on the web visit https://groups.google.com/d/msgid/info-childes/59106D83-C90A-4E37-AC60-B5080078AF11%40aus.edu.
>> For more options, visit https://groups.google.com/d/optout.
> 
> -- 
> You received this message because you are subscribed to the Google Groups "Info-CHILDES" group.
> To unsubscribe from this group and stop receiving emails from it, send an email to info-childes+unsubscribe at googlegroups.com.
> To post to this group, send email to info-childes at googlegroups.com.
> To view this discussion on the web visit https://groups.google.com/d/msgid/info-childes/728D2247-8DAB-4D0C-82A0-F94F357003C1%40gmail.com.
> For more options, visit https://groups.google.com/d/optout.
> 
> -- 
> You received this message because you are subscribed to the Google Groups "Info-CHILDES" group.
> To unsubscribe from this group and stop receiving emails from it, send an email to info-childes+unsubscribe at googlegroups.com.
> To post to this group, send email to info-childes at googlegroups.com.
> To view this discussion on the web visit https://groups.google.com/d/msgid/info-childes/829802880.1341721.1410973051387.JavaMail.root%40aus.edu.
> For more options, visit https://groups.google.com/d/optout.

-- 
You received this message because you are subscribed to the Google Groups "Info-CHILDES" group.
To unsubscribe from this group and stop receiving emails from it, send an email to info-childes+unsubscribe at googlegroups.com.
To post to this group, send email to info-childes at googlegroups.com.
To view this discussion on the web visit https://groups.google.com/d/msgid/info-childes/422E3BD8-738E-4DA8-BDBF-EE0052CBB496%40gmail.com.
For more options, visit https://groups.google.com/d/optout.